How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $52.48 | Facility | None | $19.05 | $19.05 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $27.54 | Professional | None | $19.05 | $22.91 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $97.72 | Facility | None | $24.55 | $36.31 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $51.29 | Professional | None | $8.13 | $13.80 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $63.10 Typical High $87.10 | Facility | None | $28.18 | $63.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $43.65 | Professional | None | $16.22 | $32.36 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $97.72 | Professional | None | $31.62 | $42.66 | $97.72 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $60.26 | Professional | None | $12.88 | $19.95 | $60.26 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $11.48 Typical High $13.80 | Professional | 52 · Reduced service | $9.55 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.68 Typical High $5.50 | Professional | 53 · Discontinued | $3.80 | $4.68 | $5.50 |
Where Georgia sits
The same service costs 4.8 times more in Kansas than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 33rd of 51
$22.91
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.